11-0227 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
I Tit!t444"
1,
Application Number:
11-00000227 J .
Property Address:
81175 LAGUNA CT
APN:
764-280-004-17 -35996 -
Application description:
PLUMBING
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2500
Applicant: Architect or Engineer:
Pl
------------------
LICENSED CONTRACTOB*-BWLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT �^
I hereby affirm under penalty of perjury that I am licensed and provision of Chapter 9 (commencing with
Section 7000) of Divis}'en 3 of the Busi�� ss and Professional Code, an y License is in full force and effect.
License Class: `81 4729-53• Ltcen e N .: 656128
,,---Date: ntractor• \
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
1 _ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address: N
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
'TIONS (760) 777-7153
Owner: r ? II
MENDELSON + MIA
81175 LAGUNACO T J
LA QUINTA, CA 9 25 CdTY�iF�_la:
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
3/07/11
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
9.1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
_ Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EVEREST NATL IN Policy Number 7600006481111
I certify that, in the pert mance of the ork for which this permit is issued, I shall not employ any
person i ny manner as to bec a subject to the workers' compensation laws of California,
,and a.geee that, if I shou eco ubject to the workers' compensation provisions of Section
^� 37 of the Labor Code, I hall rthw' comply with those provisions.
ate: ,J � plicant: r -
WAR ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES.UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
H
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a.permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
'1 certify that I have read Pis application and state that th above ' formation is correct. I agree to comply with all
city and cobe
as and state laws relating to build, g co truction, a hereby authorize representatives
of thison t above-mentioned property r i pe wn oses.
ate: ture (Applicant or Agent
Application Number .
. . . .
11-00000227
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
18.00
Plan Check Fee
4.50
Issue Date
Valuation .
. 0
Expiration Date
9./03/11
Qty Unit Charge
Per
Extension,
BASE FEE
15.00
1.00 3.0000
EA • PLB
GAS PIPE 1-4 OUTLETS
3.00
----------------------------7-----------------------------------------------
Other Fees . . . . .
. . . .
BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
---------------------------
Paid Credited
Due
Permit Fee Total
18.00
------------------------------
00 .00
18.00
Plan Check Total
4.50
.00 .00
4.50
Other Fee Total
1.00
.00 .00
1.00
Grand Total
23.50
.00 .00
23.50
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VINE DETAIL
STAINLESS STEEL WIRE w/ ANCHOR BOLTS
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u STONE FACE
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UNAINLINL IU I-KUN I
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ALL ;GRADING DIRECTED
TO DRAIN GRATES
EXISTING CONCRETE-
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POP UP 8
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N
TESER A
Builders 4 Exceptional Outdoor Living
POOLS I SPAS I LANDSCAPE I MASONRY
86-100 Ave. 54 Coachella CA.92236
Tel. 760.398,9222 Fax 760.398.9255
L PLANT KEY TREE/PALM SHRUB GROUND COVERS LIGHTING
E VITs TREE/PAM / , ' TREE Q VIDO EN PALM jA NQ ROOD -UGH
G bs NNE O MULTI TREE * Pcoa Ra®gOR I• ..•I ARRUAL COLOR OGI
PArH-UT
E ID sm O WOO -UGIT
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�� EUUY DEPT.
AAPPRd!/D
FOR CONSTRUCTION
���z_� � BY_I��C�b
g �-S LA Cko^bk Co Yzr
REV. NO.1 COMMENTS DATE APPROVED
t i MOVED COM -ALR �A'7R7�5 002210
' 511AH ••... • ..
RESIDENTIAL LANDSCAPE PLAN FOR: N
MENDELSON RESIDEWE 10 -Ill
LA UINTA CA 92253
SOD Or. OE�ElOPYe1T.
DANIEL H. PARCEL NO. PHASE/
DESIGN BY: TRILOGY LOT NO. doe No.
DANIEL H.
DRAWN BY: SHEET NAME SHEET NO
09.22.1 O
JESSE H.
PLANTING PLAN L-1 KDArE:ALE:,
RENEWED BY:
GREG H.
1 _
t .,.. . - . ..
..Z ._. ..... ..
AST ACACIA STENDPHIUA _
CDM gRCIDIUN 'DESERT,MUSEUM'
.. .. .. ._ TOTAL..
SHCE$TRMC ACAOA
CERGDIUM HYBRID
QTy
0750M
1.. ...
?.. ..
..3. ... _...
2... ..
... ...........
31 ..
. .. 11 ....
BUY
". AH, ALYOGYNE. HUEQW ...
HR. HESPERALOE. PAR.VRORA ..
.... LLA LEUCOPHYLLUM LANGAANIEAE
.: .. I.M. LANTANA MQMTENDENSIS... .. ....
NEO NERIUN. ORE-ANOER ..
.. PSF-PENNI$ETUM,SETACEUM
.. TOTAL
.. eWE. HHBISCUS
.. RED. NiCCA
RIO BRAVO .
PURPLE
..... PETITE PINK
F,QUNTAIN GRASS
.. .. ..
. _. 5SQ.T ._.
546 SQ.FT
, . .,A
,.CNCONC ... .. . ...
H-'RBEBROWN
NATURALcEVB SH
KRY
�� EUUY DEPT.
AAPPRd!/D
FOR CONSTRUCTION
���z_� � BY_I��C�b
g �-S LA Cko^bk Co Yzr
REV. NO.1 COMMENTS DATE APPROVED
t i MOVED COM -ALR �A'7R7�5 002210
' 511AH ••... • ..
RESIDENTIAL LANDSCAPE PLAN FOR: N
MENDELSON RESIDEWE 10 -Ill
LA UINTA CA 92253
SOD Or. OE�ElOPYe1T.
DANIEL H. PARCEL NO. PHASE/
DESIGN BY: TRILOGY LOT NO. doe No.
DANIEL H.
DRAWN BY: SHEET NAME SHEET NO
09.22.1 O
JESSE H.
PLANTING PLAN L-1 KDArE:ALE:,
RENEWED BY:
GREG H.
Bin #
City of La Quinta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico '
U Quinta, CA 92253 - (760) 777-7012
Building Permit Application a d Tracking Sheet
Permit #
��' �'L
Project Address: 0l.
S
Name:EnlC>tZ-SOnI
A. P. Number:
Address:
Legal Description:
Sa WA
City, ST, Zip:
Contractor:
Telephone:
Address: 96 /00
j
S y
Project Description:
City, ST, Zip: �.ctltt,�sr
TeIephon f(7
CA ZZ3
ElC
State Lic. #:
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
w:::::•:'F:k �i•i:^:J.i{:} Xiviiiii}j•:
"''{'•i%;iyy}r}:`ryif)i::iii>r:i\.>ri:{:iiiiiFr
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• • • i•i4?:•:»;:;i:? n iiiin4 i':•{i:>� f;::v''>'': '�
{:ti?'r,'ti>i^�i:{:i:}:ij}:�ii:v:$J:..f.•ii.:<•:::•:::: Vii::.
r;<<<?:!:•:•>:<::'>:•>:;.;;•:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Persori:
M`z
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person 74 p 2 -So Z3 /p
Estimated Value of Project: Z 0 �
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees